Haegele, Charles William
Haegele, Charles William is an sole proprietor health care provider with primary practice located at 9870 Gateway Blvd N Suite B-4, El Paso TX 79924-4414. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Haegele, Charles William can be contacted via phone (915) 751-0264.Contact Information
Primary practice address
9870 Gateway Blvd N Suite B-4
El Paso TX 79924-4414
Phone: (915) 751-0264
Fax: (915) 751-2736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2570TG | Texas |
Profile Details
| NPI number | 1316930407 |
|---|---|
| LBN Legal business name | Haegele, Charles William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 25th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316930407 | NPPES |
| Texas | MEDICAID | 127228805 | |
| Texas | MEDICAID | 127228804 |
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